HIM 422 Ethical and Legal Considerations in Health Information Management sample papers, module by module

Reviewed by Delia Ravenscroft, MSN, RN

HIM 422 asks health information students to think like both a compliance officer and an ethicist: what the law requires, what the profession expects and what the patient deserves. The samples below follow one composite release of information supervisor at a 260-bed hospital in eastern Washington, whose final project analyzes the 2015 Anthem breach that exposed 78.8 million people's records, with published research and public enforcement records behind every conclusion.

HIM 422 is SNHU’s Ethical and Legal Considerations in Health Information Management course. It centers on law and ethics for health information management: sources of law and the court system, civil procedure, subpoenas and court orders, tort law and malpractice, the legal health record, consent and record policies, HIPAA privacy, security and breach notification, enforcement and litigation after a breach, workplace law, incident reports and governance, the release of information and the AHIMA Code of Ethics. Every module below opens a full sample paper or takes a free request for one; searches like "him 422 module 3", "HIM422 sample paper" and "HIM 422 milestone example" land on this page.

What HIM 422 is really about

HIM 422 is the law and ethics course in SNHU's BS Health Information Management sequence, and rubrics reward legal accuracy paired with ethical reasoning. Graders expect the correct rule for each situation, such as a subpoena versus a court order or a treatment disclosure versus an authorization, a clear distinction between what is legal and what is right and policies or recommendations specific enough for staff to follow.

The author of every sample here is a composite release of information supervisor at Tamarack Valley Medical Center, a 260-bed hospital in eastern Washington that handles about 4,100 records requests a month. The journals draw on the supervisor's own caseload, while the final project studies a real event: the 2015 cyberattack on Anthem, then the second-largest US health insurer, which led to a $16 million federal settlement, a $115 million class action and a $39.5 million multistate agreement. The supervisor and hospital are illustrative; the Anthem facts come from public records.

What HIM 422’s modules ask for

Across eight modules, HIM 422 typically asks for a discussion of the legal system, journals on consent and record policies, HIPAA, workplace law and the ethical release of information, and a final project built in milestones: a breach summary with stakeholders, an analysis of financial and nonfinancial impacts, ethical and legal recommendations and the complete case analysis.

Where students lose points in HIM 422

The most common HIM 422 deduction is stating a legal conclusion without the rule behind it, such as releasing records on an attorney's subpoena without the assurances HIPAA requires. The second is blending law and ethics, as if anything legal were also right. Graders also mark down breach analyses that list penalties but ignore patients and staff, impact sections with no dollar figures or sources and recommendations too general to implement. The fix is to cite the rule, separate the ethical question and make each recommendation specific.

The HIM 422 drawers

Module 1

HIM 422 Module 1 Discussion example

The course opens with a composite release of information supervisor handling an attorney's subpoena for a patient's records in a malpractice suit: where the rules come from (statutes, regulations and case law), why a subpoena is not a court order, what HIPAA requires before release and why the legal health record matters in tort cases, with Studdert, Jena and Mello and colleagues on malpractice claims. Full sample paper, read it free.

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Module 2

HIM 422 Module 2 Final Project Milestone One example

The first final project milestone summarizes the 2015 Anthem cyberattack from public records: a spear-phishing email in 2014, months of undetected movement, discovery by a database administrator, 78.8 million people's identifying data taken, the notification and response, and a stakeholder table covering members, employer groups, other Blue plans, staff, leaders, regulators and law enforcement, with McCoy and Perlis, Liu, Gordon and Kruse and colleagues on breach patterns and phishing. Full sample paper, read it free.

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Module 3

HIM 422 Module 3 Journal example

A reflective journal by a composite release of information supervisor after a record review finds surgical consent forms signed after sedation, left undated or written in jargon, asking what a consent policy owes patients beyond a signature, with Hall, Grady and Schenker and colleagues on consent as a process and on ways to improve patient understanding. Full sample paper, read it free.

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Module 4

HIM 422 Module 4 Final Project Milestone Two example

The second milestone weighs what the Anthem breach cost and whom it hurt: $170.5 million in public settlements from federal regulators, a class action and state attorneys general, response and security costs, then the harms that carry no price tag, from lifelong identity theft risk for people whose Social Security numbers were taken to lost trust, staff strain and years of regulatory oversight, with Romanosky, Jiang and Bai and Choi and colleagues. Full sample paper, read it free.

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Module 5

HIM 422 Module 5 Journal example

A reflective journal written after an emergency registration clerk is assaulted: why the incident report stays out of the patient's legal health record, what Washington's workplace violence law and federal safety rules require, why most violent events never reach a report and how the board should see the numbers, with Phillips, Arnetz and colleagues and Wax and colleagues. Full sample paper, read it free.

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Module 6

HIM 422 Module 6 Final Project Milestone Three example

The third milestone asks what Anthem owed and what it should change: the Security Rule duties behind the federal findings, negligence and state law, the ethical principles of nonmaleficence, justice, fidelity and transparency, the question of why former members' Social Security numbers were still stored, and ten recommendations with owners and timelines, from privileged access controls and data minimization to phishing simulation, longer identity protection and board oversight, citing Gordon, Kruse, Choi and McCoy and Perlis. Full sample paper, read it free.

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Module 7

HIM 422 Module 7 Journal example

A reflective journal on three requests in one day: a patient quoted a per-page fee for her electronic record, a mother asking for her 16-year-old's chart that includes care he consented to himself and a patient asking to remove the words "drug-seeking" from a note, weighed against access rules, minor consent, the right to request amendment and research by Lye, Walker and Park and colleagues. Full sample paper, read it free.

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Module 8

HIM 422 Module 8 Final Project example

The final project brings the three milestones together into one case analysis of the 2015 Anthem breach: an executive summary, the attack and response, stakeholders, $170.5 million in settlements and the harms beyond them, the legal duties behind the federal findings, an ethical analysis, recommendations in three phases and lessons for hospital health information departments, drawing on Liu, McCoy and Perlis, Gordon, Romanosky, Jiang and Bai and Choi and colleagues. Full sample paper, read it free.

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Using a HIM 422 sample the right way

Read an HIM 422 sample by checking whether each legal claim names its rule, whether ethical reasoning is kept separate from legal compliance and whether recommendations say who does what by when. For HIM 422, send the assignment wording, the breach or scenario you were given and the rubric; a first custom sample is returned free in 24-48h.

HIM 422 questions, answered

What does HIM 422 cover?

The legal system, tort law, the legal health record, consent, HIPAA privacy and security, breach response, workplace law and professional ethics for health information management.

Is the HIM 422 final project about a real breach?

Many versions ask students to analyze a real data breach in milestones; these samples use the 2015 Anthem attack and its public enforcement records.

What makes a strong HIM 422 paper?

Correct rules cited for each situation, ethics treated separately from law and recommendations specific enough to put into practice.